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Tina Proctor
Home Health Registered Nurse in Charleston, West Virginia
NPI 1548984982

Tina Proctor is a Home Health Registered Nurse based in Charleston, WV and is specialized in Home Health. Tina Proctor practices in Charleston, WV. The NPI Number for Tina Proctor is 1548984982 and holds a License No. 83295 (West Virginia).

The current practice location address for Tina Proctor is 400 Tracy Way Ste 100, Charleston, WV and can be reached out via phone at 304-720-0262.

Location: 400 Tracy Way Ste 100, Charleston, WV, 25311-1280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548984982
Provider Name
Tina Proctor
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Tracy Way Ste 100, Charleston, WV, 25311-1280
Phone Number
304-720-0262
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Tracy Way Ste 100
City
Charleston
State
West Virginia
Zip
25311-1280
Phone Number
304-720-0262
Fax Number
person
Provider Business Mailing Address Details
Address
400 Tracy Way Ste 100
City
Charleston
State
West Virginia
Zip
25311-1280
Phone Number
304-720-0262
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
83295 (West Virginia)
Definition
Definition to come...
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